R.l. Bautista, Inc.

NPI #1700906039 in Moberly, Missouri

Provider Information

NPI Number: 1700906039
Entity Type: Organization
Organization Name: R.l. Bautista, Inc.
Primary Specialty: Surgery
Enumeration Date: Mar 30, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 1145 S MORLEY ST
City: Moberly
State: Missouri
ZIP Code: 65270-1948
Phone: (660) 263-2650

Authorized Official

Name: ROGELIO L BAUTISTA, M.D.
Title: PRESIDENT
Phone: (660) 263-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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